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This is VAERS ID 1367960

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367960
VAERS Form:2
Age:29.0
Sex:Male
Location:Missouri
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Skin discolouration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: he said he did have a similar reaction with Hep. B vaccine but did not reveal that info deal after he received his vaccine and d
Other Medications: no, I asked him and he is not on any medications and that is confirmed after checking his profile
Current Illness: none
Preexisting Conditions: none
Allergies: cephalosporins and penicillins as seen in his profile
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: about 5 minutes after receiving the pfizer vaccine patient became sweaty and skin got clammy and he felt like he was going to faint. He lost all color to his face. Blood pressure was taken and it was 92/60. We gave him a cold pack on the back of his neck and had him lay down and elevate his feet and legs. Also got him some cold water to drink. He started to feel better in about 15 minutes after that. We continued to monitor blood pressure about every 5 to 10 minutes and it got to 99/72 and last check was 120/65. He did not want the ambulance or to go to urgent care. We told him to take it easy the rest of day and to have somebody with him til next morning. And then he and his friend left to go to his parents house.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367960&WAYBACKHISTORY=ON


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